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F11E0 AND RECORDED~
193n~g NOTICE OF LIEN ST~ ~CCORD VERIFYEFLA.~'
193495
STATE OF FLORIDA MAY 7 AM IO: 3T
COUNTY OF ST. LUCIE ROGER FpITR~G~
CLERK CIRCUIT ~OUf~T~
NOTICE is hereby given ~hat pursuant to the provision of
Chapter 65-2181, Laws of Florida, Acts of 1965, the Board of County
Commissioners of St. Lucie County, Florida, claims a lien in the
~
amount of Seven Hundred Eight a~nd 24/100
~08.24 ~ Dollars`against any real or.personal property or
interest therein presently held or after ac~uired by
(Name of
Harley P. Short of Rt. 4, Box 278, Ft. Pierce, Florida
Indigent or Recipient) (Addres~
For money direc tly spent by St. Lucie County for the care, hospital-
ization, sustenance or maintenance of Shane Raymond Short
minor son of said ~arley P. Short ~
(Relationship)
as follows:
Hospital: Shands Teaching -
Date Admitted: 11/30/69
Date Discharged: 12~Z1/69
Number of Days: 12 at $ 59-02 per day = $ 708.24
Less Credits None
Amount of Lien $ ~08.24
~
Dated at Fort Pierce, Florida, this ~ day of May , ~
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t;;; s~~'~.- . - ~ County ~ Attorney
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SWOItI~. to~'sar~r , subscribed before me
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this day of , ~9 y~'
Notary Public State ofr F2orid at Large
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My Commission Expires s a?~_ '~i•,`.~v~f`i,~~'4~15
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THIR IN~TRUMENT WAS PREPARED. BY y~~~ ~'~'y-~:~ = 6~'
RAIPH B. WILSON. ST. LUCIE CQlJNTY ~~~~t~..~'~
COURTMOUSE. FT. PIERCE. FLORID/1 ~ b'~`~`~
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